The sense of hearing is a complex one. The ears are divided into three parts: the outer ear, the middle ear and the inner ear. While the outer ear sends the sound to the middle of the ear, the middle ear sends the same to the inner ear through the conductor. The inner ear in turn sends the auditory signal to the brain where the signal is processed and gives rise to a sense of hearing. 

Problems in hearings can arise if there is a problem in any of these parts. However, more often than not it is the middle or inner ear that is affected. However, there may also be situations when there are problems in both the middle and the inner ear. In that case, it is known as a mixed hearing loss. 

What is Mixed Hearing? 

Loss If there is damage to the middle ear, it may precipitate a conductive hearing loss. Now, in addition to that, if there is a sensorineural problem, then it gives rise to mixed hearing. So, in the case of a mixed hearing loss, all the parts of the ear and even the brain may be involved. There may be damage to the outer ear, middle ear, inner ear, as well as the auditory nerve. 

Causes of Hearing Loss 

Since mixed hearing loss may result from damage to any part of the ear, it is necessary that the causes be grouped into different categories. 

  Sensorineural Hearing Loss 

Sensorineural loss may result from drugs, different illnesses, head trauma, malformation of the inner ear etc. Genetic predisposition may also precipitate such problems. 

  Conductive Hearing Loss 

Such type of hearing loss may result from excessive deposition of earwax, ear infections, perforation in eardrums, malformation of the middle or outer ear, as well as problems with the fluid in the middle ear. 

Symptoms of Hearing Loss 

Reduced hearing in either or both ears is considered to be delineating symptoms of mixed hearing loss. 

Treatment 

Since mixed hearing loss can result from sensorineural failure as well as damage to outer or middle ear, treatment needs to be divided into different groups too.   To treat Conductive Hearing Loss, doctors can use surgical or medical options. 

  For sensorineural hearing loss, doctors usually prescribe hearing aids. This indicates that treatment for mixed hearing loss may include treatment for conductive hearing loss as well as that for sensorineural hearing loss. So, it is usually a combination of both medical and surgical options. Physicians may prescribe both medicines and hearing aids or resort to surgical interventions and also prescribe hearing aids. Sometimes, physicians use special hearing aids or implants to treat mixed hearing loss. 

Conclusion 

In case a person is sensing reduced hearing in one or both ears, he/she needs to seek medical advice. It may be a symptom of mixed hearing loss. Getting in touch with an experienced physician is the first step towards that.

Mixed Hearing Loss - How To Treat It?

Your hearing is one of the most important function your body carries out and sometimes you realize that you are losing your sense of hearing, when it is too late to get it back. There are two main reasons for this. One of the reason is age  and the other is when the inner ear's hair cells break down and do not pick up sound well. Here are 7 ways to safeguard your hearing.

1. Try to avoid loud places
It is not advisable to go to places where you have to shout to be heard, such as in a street, a concert or a construction site.

2. Buy low noise rating equipment
The equipments in your house will make sound that you hear the most. Try to avoid these equipments by buying appliances with a low noise rating.

3. Wear hearing protection at loud places
However, it is true that it is not always possible to avoid loud noises. This is when you need to get hearing protection. Earplugs and earmuffs are two of the best ways to make sure that even when you are in a loud place, your hearing does not get affected. Earplugs and earmuffs generally reduce sound by 15 to 30 decibels, which may be crucial to make sure that later in your life, you do not lose your hearing.

4. Avoid smoke
Smoking raises your chance of hearing loss. Second hand smoke does the same thing. Therefore, try to avoid, both smoking and secondhand smoking. 

5. Remove earwax properly
Earwax cannot be removed properly using a cotton swab. Instead, you should use an irrigation kit. Remember this as otherwise; the earwax could muffle your hearing.

6. Avoid medications which reduce hearing
Certain medications increase hearing loss. Therefore, double check with your doctor to make sure your medicines will not make you lose your hearing.

7. Get your hearing tested
Finally, get your hearing tested as identifying the problem early on can help stop worsen the situation.

7 Tips to Safeguard Your Hearing

Coughing is a common problem of the respiratory tract and often indicates a deeper problem. It can be very irritating and can affect eating habits and socialization. A cough which persists for more than 4 weeks is believed to be chronic in nature. Tuberculosis (TB) is the most common cause of chronic cough in India. TB is an airborne bacterial infection caused by the organism - 'Mycobacterium tuberculosis', that primarily affects the lungs, although other organs and tissues may be involved. Cardinal features are: 

Chronic cough with or without sputum.
Fever more in the night time. 
Poor appetite. 
Unintentional weight loss. 
Read on to know about other common causes of chronic cough and how to manage them.

Allergies: People with allergies usually have a chronic cough, which gets aggravated when exposed to the allergens such as pollen or environmental dust. Staying away from allergen provides relief. Antihistamines are also useful, which most people detected with allergies keep in handy. Inhalers might be required, if there is associated congestion or shortness of breath.
Asthma: This is a very common chronic condition, caused by inflammation and swelling of the lungs, in addition to wheezing and shortness of breath. Asthma patients often suffer from a chronic cough. An asthma attack usually happens during the night or early morning, and is triggered by colds, cigarette smoke, air pollutants or allergens, which can even include certain foods. Most asthmatics usually carry their steroids, inhalers, and bronchodilators, as the onset of attack can be unpredictable.
Bronchitis: This condition of inflammation of the bronchial region is very common among smokers and among the elderly. There is excessive mucus accumulation, which the body tries to clear via coughing. The lungs are weakened and therefore, the coughing is painful.
Gastroesophageal reflux disease (GERD): This is a problem of the digestive system, but regurgitation of food into the airway induces cough. GERD is a chronic issue and so most people also end up with a chronic cough. It is worse with sitting up than with sitting down. Treatment includes H2 blockers to suppress acid production and dietary changes including small, frequent meals and avoiding spicy food items.
Upper airway cough syndrome: There could be multiple problems in the upper airway, which leads to a constant postnasal drip. Here, there is constant dripping of the sputum into the air passage, which can lead to a chronic cough whenever there is impaired air flow. This can be caused by various forms of chronic sinusitis and rhinitis. People diagnosed with this condition usually resort to antihistamines and decongestants for relief.
Other causes: There are a number of other causes as noted below. Smoking, tuberculosis, congestive heart failure, pertussis or whooping cough, foreign body in the airway, cancer in the airway passage, chronic aspiration of foods, etc. can all lead to chronic cough.
The key is to identify the reason that is causing the chronic cough. Most people who are diagnosed are educated to handle it and carry the required medications including steroids, bronchodilators, and inhalers.

Suffering from Chronic Cough - How to Manage it?

The habit of thumb sucking is very common in many toddlers and babies, but often disturbs the parents to a great extent. Before dealing with this habit, it is very imperative for parents to understand the cause of this behavior. The tendency of thumb sucking is quite normal for the babies as it makes them feel comforting.

Problems that occur with thumb sucking
There are certain problems that occur if the baby develops the habit of prolonged thumb sucking. The problem that occurs mainly on sucking the thumb for longer time is with the teeth of the toddlers which may result in speech problems. Some babies get over this habit of thumb sucking on their own without any adverse after affects. However, sometimes prolonged thumb sucking may result in irritation on the skin or lead to peeling off of the skin, causing discomfort and pain to the child. There are chances that even the nails on the fingers grow in a crooked manner because of infection caused by thumb sucking.

How to get your child to leave thumb sucking habit?

Parents must in any case not force their toddlers to stop this habit or get upset with them, as it can cause the toddler to develop this habit all the more.
A child mainly sucks his thumb for comfort, and the habit can be stopped by diverting their mind and offering the child a soft toy or giving them a special blanket.
It is better to give the toddler something to hold which makes him feel secure and comfortable.
It is very important to assess whether it is a problem before stopping the habit of thumb sucking. But if the habit continues, it may affect the alignment of the teeth.
It is always better to make use of ways like positive reinforcement and encouraging behavior change in your child. Parents must set up a reward system and take a note of the days the child does not suck his thumb. It is important that parents praise their child verbally and give them some reward at the end of the month.
The best and simple way to quit the habit of thumb sucking is to cover the thumb with a thumb guard or mittens.
The best way to help your child quit the habit would be to distract him or her and involve them in activities that would require the use of both the hands. Parents can keep their child busy by giving them puzzles or blocks to play.

Thumb-sucking Habit - 7 Things to Keep in Mind!

A cough and cold are caused by infections, sinusitis, bronchitis, and exposure to dust. Ayurveda recommends not just medications to treat a cough and cold. It also insists on incorporating certain dietary and lifestyle changes for complete cure. A cough is a way that the human body uses to blow off foreign bodies from the respiratory airways. However, when someone coughs for long, it can lead to dizziness, hoarseness of voice, and wheezing. In case of a chronic cough, fatigue and aches in the joints are experienced.

In Ayurveda, cold is also known as Vata-Kaphaja Pratishaya. According to Ayurveda, Virudh ahar (incorrect combination of foods), Ama (toxins), and Asatmya (change in environment) lead to allergic reactions, and cold is one such example. Toxins may accumulate in the body of an individual due to impaired metabolism and digestion. On the other hand, intolerance towards specific food items may lead to an allergy.

Vamana Panchakarma, followed by Virechana can be administered for the treatment of a chronic cough and cold. This helps correct the balance between the three doshas and to eliminate toxins. In some individuals, nasal drops therapy or Nasya treatment can be administered to clear congestion. This is done by pouring herbal oils such as Shadbindu or Anu taila in the nostrils. Ayurvedic medications can also be administered to strengthen the immune system and the respiratory tract.

The following sections explain some of the other Ayurvedic remedies that a person can try out to relieve cough and cold.

Home remedies: Ayurveda points the kitchen to get relief from a cough and cold. Ingredients from the kitchen shelf can help a lot, along with medications. Ginger juice is an effective way to treat a cold and cough. This helps in ejecting mucus. To try out this remedy, an individual can prepare fresh ginger juice and add turmeric (one-fourth teaspoon), tulsi leaves juice and honey (half teaspoon each) and a pinch of black pepper powder to it. Mix everything together. If you want to use it multiple times, you can increase the quantities in the same ratio and refrigerate it. Consume one and a half teaspoon of the mixture at least three to four times a day to get relief from a cough. For children, give half the quantity thrice a day. This is an excellent remedy to relieve a cough and cold without leading to any side-effects.

Gargling also helps. Mix a spoon of salt to warm water. Gargle twice a day with this. Chewing cardamom buds and cloves also help in eliminating cough. You can also take four black raisins and add a pinch of rock salt and black pepper powder to them. Dry roast and take this three times a day. You need to eat this for at least for 15 days.

Otherwise, take a glass of water. Boil with licorice powder and black pepper powder (half teaspoon each). Grate fresh ginger and add one spoon of it to the mixture. Add 10 basil leaves, and make a decoction of everything. The water should turn half the quantity. Palm candy can be added to sweeten the decoction. Try this instead of coffee or tea in the morning and evening to relieve cold and cough.

Dietary changes: Take lots of fresh pulses with grains. Taking pulses with grains help in gaining all the goodness of the pulses. Green gram, yellow lentils, and red lentils can offer nutrients that are required and are easy to digest. Vegetables such as pumpkin, marrow, squashes, ivy gourd, ridge gourd, snake gourd, smooth gourd, onions, beetroot, celery, carrots, and parsnips can be consumed as well. However, consume cooked vegetables only. Grains such as rice, oats, and millets are good choices. You should refrain from taking wheat and processed flour. Almonds, apricots, figs, dates, and hazel nuts are beneficial. Limit your consumption of fish, chicken, and turkey. Red meat can be taken twice a week. Avoid dairy milk. You can take soy milk or oat milk as a replacement.

Lifestyle changes: Quit smoking. The health of the lungs can be damaged to the core with smoking and this can also lead to cancer. When you suffer from chronic cold and cough, immediately consult a doctor, if you smoke. Avoid exposure to pollens, dust, and pollutants. Use a mask while driving, and cover ears and nose exposed to cold.

Talk less: This gives enough rest to vocal cords. Taking warm water instead of plain water is a good option. Take tea made of herbs. Tulsi, mint leaves, and ginger can be added to the herbal tea. Do not mix milk with tea. Take a balanced diet and keep yourself away from processed and junk foods.

Chronic Cough And Cold - How Ayurveda Remedies Can Help? 

What causes hearing loss? + How to ensure you can help it as you age

The partial or total inability to hear is known as hearing impairment or hearing loss. It can be present at birth, or develop later in life.

There are a number of factors, which may cause hearing loss

1. Age - Age is the biggest factor when it comes to the loss of hearing, and you may lose the ability to hear as you age. This condition is known as presbycusis. It becomes difficult to understand high-frequency sounds like that of a child or a woman when you get old.

2. Noise - When you are exposed to loud noises for a prolonged period of time, it damages your ears. This leads to loss of hearing. 5% of the total population of the world is affected by noise (the degree of suffering varies). It may be a result of continuous exposure to loud music or a sudden exposure to a loud noise like an explosion.

3. Hereditary disorders - Hearing disorder may be inherited by the dominant or recessive genes of parents in the child. 70-80% of these cases inherit from the recessive genes, whereas 20-25% inherit hearing loss from the dominant genes.

4. Trauma - Serious injuries of the head/ears may cause loss of hearing, which may be either temporary or permanent. When damage is caused to the brain, the brain fails to process the message conveyed by the ears. So even if the ears are totally functional, a person may face the problem in hearing.

5. Perinatal problems - The ototoxic effects on the fetus due to excess intake of alcohol during pregnancy lead to hearing the loss in about 64% of the infants born to alcoholic mothers.

Also, premature birth can be associated with hearing loss due to high risk of being exposed to noise in neonatal units.

Knowing about the causes of hearing loss can lead you a step closer to preventing this disorder as you age.

Here are some useful tips that can help prevent hearing loss:

1. Be more aware - You should be diligent and aware of the situations, which may risk your hearing ability and should try to avoid such situations as much as possible. Limit your exposure to sources of hazardous noises like firearms, firecrackers, concerts and clubs.

2. Take precautionary measures - If your occupation calls for working at an environment of loud noises, use earplugs or earmuffs to block out the excessive noise. Also, make sure that you work in a place where employers take all the necessary measures of noise control under the federal or state regulations.

3. Monitor your use of gadgets - Monitor and control the use of hearing devices, and try to reduce the use of headphones/ earphones as much as possible.



What causes hearing loss? + How to ensure you can help it as you age

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